Insurance Reviewer II

Job not on LinkedIn

🕒 June 4

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $18 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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Recruit CRM

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2017

👥 HR Tech

🤖 Artificial Intelligence

☁️ SaaS

HR Tech • Artificial Intelligence • SaaS

Recruit CRM is an easy-to-use, AI-powered recruitment software empowering recruitment agencies across 100+ countries. It simplifies workflows, enhances precision, and secures top talent quickly through automation features like resume parsing, candidate matching, and workflow customizations. Designed for ease of use, it integrates with numerous applications and offers comprehensive analytics to support recruitment processes globally.

📋 Description

• Handle all phone calls and messages received specific to designated insurance area • Update registration screens when requested by patients or as necessary • Review and process all designated insurance vouchers received • Rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary • Process all secondary billing as requested by patients or defined by procedure • Distribute incoming insurance mail received and respond to all audits, inquiries and additional information requests • Process corrections/adjustments as necessary to correct the patient's invoice • Process designated insurance reviews when requested to obtain additional payments on claims • Analyze and process front-end system edits for correct physician productivity and billing of claims • Analyze and process back-end system edits for correct registration and billing of claims • Analyze and process claims denied through clearinghouse • Investigate and process claims in the insurance work files and/or on the insurance reports • Must report all incidents to immediate Supervisor or Manager • Assist with special projects and assignments as directed • Must attend in-services and training relevant to position • Provide excellent customer service and adhere to SC Way customer service philosophy.

🎯 Requirements

• High School graduate or GED required • Previous experience in a medical billing office required • Working knowledge of medical terminology preferred • Working knowledge of CPT and ICD-9 coding preferred • Computer, typing and calculator skills required • Must be able to work individually or on a team.

🏖️ Benefits

• Comprehensive list of all benefits offered at SC: https://www.springfieldclinic.com/benefits